Quality Analyst is responsible to perform activities outlined in the Service Quality Plan and identify auditor / program level improvement opportunities. QA Analyst is required to work closely with the production resources to ensure adherence to
The Coding Quality Manager is responsible for developing and implementing coding audit monitoring and education activities for providers and coders, in support of the organization’s adherence to applicable CMS requirements, official coding guidelines, government regulations and internal policies. Manages
Client Management: -Establish and maintain trusted client relationships as the primary point of contact for coding denials and hospital billing services. -Understand client challenges related to coding compliance and billing workflows and recommend tailored solutions. -Conduct regular meetings
Qualifications: -4-8 years of experience in healthcare revenue cycle management, with a specific focus on coding and clinical denials, accounts receivable, and team leadership. -Deep understanding of medical coding (ICD-10, CPT, HCPCS) and clinical denials, payer medical necessity policies,
We are currently looking for experienced OUTPATIENT CODERS to be part of our team! Job Descriptio nAs an Outpatient Medical Coder, you will be responsible for reviewing and coding medical records for outpatient encounters, ensuring compliance with
Join us to be our next Clinical Appeals DRG Nurses in Quezon City and Cebu City! Qualifications & experience Clinical Appeals Writing Experience (6 months to 1+ year) familiar with DRG downcode or coding appeals) Familiar with
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
We Are Pooling Medical Coders (Q3 Start)! We are currently pooling Medical Coders for our In/Outpatient Coding Programs, tentatively starting Q3. Newly coding-certified Registered Nurses without prior coding experience are welcome to apply. Job Requirements: Must be a Registered
Ready to take your medical coding career to the next level? As a Denial Management Executive (DME) , youll use your coding expertise to resolve insurance claim denials, optimize reimbursements, and support healthcare providers in improving revenue cycle
Clinical Documentation Improvement (CDI) specialists are responsible for improving the overall integrity of medical records documentation. Their responsibilities can vary based on an individuals specific job, company, or industry. Here are some general clinical documentation improvement
PRINCIPLE PURPOSE OF JOB: We are currently seeking Clinical Analyst to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Clinical Analyst is responsible for analyzing and interpreting and assign
R1 RCM PHILIPPINES, INC . is a leading provider of technology-driven, end-to-end revenue cycle solutions that transform the patient experience and financial performance of healthcare providers. R1 RCM Philippines serves as a strategic hub for global
The Inpatient Medical Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff. Duties and Responsibilities Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co-source partners
What You’ll Do Hospital Claims Processing & Adjudication • Review and adjudicate hospital and facility claims, including inpatient, outpatient, emergency room, and ancillary services, following established policies, benefit plans, and standard procedures. • Check claims for
Infinit-O isn’t just about business process optimization, we’re about people. For over 20 years, we’ve been helping some of the world’s fastest-growing companies in Financial Services, Healthcare, and Technology achieve multiple strategic advantages through data-driven solutions,
Position: Clinical Documentation Improvement Nurse Specialist – Inpatient Location: BGC, Taguig (Hybrid) Required Qualifications: CDI Experience: At least 2 years inpatient CDI review experience. Clinical Experience: Minimum of 2 years acute care clinical experience in a
Monee is a leading digital payments and financial services provider in Southeast Asia, with a growing presence in Latin America. Its mission is to better the lives of individuals and businesses in the region with financial
Senior Account Manager (Medical Virtual Assistant) Job Summary We are seeking an experienced Senior Account Manager (AM) to lead, coach, and develop a team of Account Managers supporting Medical Virtual Assistants (MVAs). This role is responsible
Subject Matter Expert (SME) – Medical Biller | Hybrid | Nightshift Setup: Hybrid (6 weeks training onsite 2 days per month after) Schedule: 8PM-5AM MNL The RCM Trainer is responsible for providing deep domain expertise across
What is an Inpatient Coder? An Inpatient Coder specializes in coding the medical records of patients who are admitted to hospitals or healthcare facilities for treatment. They are responsible for translating patients’ healthcare information, including diagnoses, symptoms,